There is something white in the glans groove

The coronal sulcus is the part connecting the glans penis and the penis. This place is usually hidden and covered by the foreskin, so it is not easy to have problems. If there is white stuff in the coronal sulcus of the glans penis, the most common one is smegma, which is easy to identify. If it grows on the penis, it is considered to be pearly papules, which is a normal physiological phenomenon. You can judge whether you belong to this situation by understanding pearly papules.

Clinical manifestations and diagnosis

Pearly penile papules are more common in men around 20-30 years old. The damage mainly occurs at the junction of the edge of the glans penis and the coronal sulcus and/or the frenulum. The lesions are 1-3mm in size, and the lesions are larger on both sides of the frenulum. The top of the papules is round and smooth, and some papules are hairy or thread-like. The papules are mostly not fused with each other, and are densely arranged in one or more rows. They are obvious on the dorsal side of the glans penis and may partially or completely surround the glans penis. The color of the lesions is mostly pearly white, a few are light red or skin-colored, and some may appear mildly red and swollen. There is no tenderness, no rupture, and the patient has no subjective symptoms.

The key points in differentiating and diagnosing penile pearly papules and condylar warts are that in the former, the lesions are limited to the edge of the glans, the number of lesions is larger, they are pearly milky white papules with a smooth surface, the lesions do not increase in size as the disease progresses, and the acetic acid test is negative; while in the latter, the lesions are not limited to the edge of the glans, they are mostly single and scattered, the lesions are larger, the surface is not smooth, and they are mostly cauliflower-shaped, they gradually increase in size as the disease progresses, the acetic acid test is positive, and histopathological examination shows concave cells.

It is normal to have small fleshy thorns on the glans. They are caused by local irritation caused by local dirt. It is nothing serious and not a disease. It is called pearly rash in medicine. It has no effect on the body and many people have it.

Penile pearly papules, which are common to almost every male. It is normal, don't worry! Clinically, pearly papules are white, skin-colored or light red papules that do not fuse with each other and are arranged in one or several rows along the coronal groove at the posterior edge of the glans. It is commonly known as "glans pearl scale". The skin lesions are white, skin-colored or light red small papules, with a single diameter of 1-3mm, translucent, shaped like small pearls, and smooth surface. They can be in the shape of several needle-sized beads, or in the shape of silk or sharp hairs. The rashes do not fuse with each other, and are arranged in one or several rows along the coronal groove at the posterior edge of the glans, and can partially or completely surround the glans. It is more common in young men aged 20-50, with no conscious symptoms. No treatment is required, but electrolysis or laser treatment can be used if necessary.

Men with this condition are advised to check whether their foreskin is too long. If so, it is best to have a circumcision. Change and wash underwear frequently, and it is best to expose them to the sun and dry them after washing. Maintain personal hygiene and avoid unclean sexual intercourse. Men should also pay attention to their own safety.